Individual
AUGUSTUS K. EDUAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 TURNER RD, DAYTON, OH 45415-3630
(937) 496-5162
(937) 522-0485
Mailing address
500 LINCOLN PARK BLVD., SUITE 100, KETTERING, OH 45429-6410
(937) 222-3118
(937) 222-1436
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.72679
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008696
ANTHEM
—
01
—
0828263
PTAN
—
05
—
2017089
—
OH
01
—
310821503035
CARE SOURCE
—
01
—
3108215037020
UNITED MINE WORKERS
—
01
—
390005566
RAILROAD
—
01
—
928194
AETNA
—
01
—
D72679
HUMANA
—
Enumeration date
11/14/2005
Last updated
10/22/2025
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